Apply for Coaching | Ignitedlifefl

First name

Last name

Birthday

Month

Day

Year

Email

Phone

Mailing Address for gifts and giveaways.

How did you hear about my coaching?

What motivated you to reach out to me?

Have you ever worked with a trainer before?

Yes

No

Have you ever tracked macros before?

Yes

No

Not interested

Other

What services are you looking for support in?

Nutrition Only

Exercise Program Only

Everything! Workouts plus nutrition

Pregnancy/Postpartum Coaching

What type of exercise are you currently doing and how often?

Do you have any past injuries/surgeries? Please be specific about those and any other medical illnesses/allergies/injuries? (List medication, reason for taking it, and injuries)

Do you have access to a gym?

Yes with cables and other machines

Yes, but barbells, weights and cardio equipment only.

No

How do you spend most of your work time & free time?

On a scale of 1-10 how serious are you about this? 1 Not Very Serious 10 Very Serious

On a scale of 1-10 how accountable to you want me to hold you to the plan? 1 Don't hold me accountable 10 Hold me accountable